Pre-pregnancy and pregnancy-related factors and the risk of excessive or inadequate gestational weight gain

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• 作者：P. Brawarsky ; N.E. Stotland ; R.A. Jackson ; E. Fuentes-Afflick ; G.J. Escobar ; N. Rubashkin and J.S. Haas
• 关键词：Pregnancy ; Gestational weight gain
• 刊名：International Journal of Gynecology and Obstetrics
• 出版年：2005
• 出版时间：2005
• 年：2005
• 卷：91
• 期：2
• 页码：125-131
• 全文大小：81 K

文摘

Objective: Gestational weight gain consistent with the Institute of Medicine's recommendations is associated with better maternal and infant outcomes. The objective was to quantify the effect of pre-pregnancy factors, pregnancy-related health conditions, and modifiable pregnancy factors on the risks of inadequate and excessive gestational weight gain. Method: A longitudinal cohort of pregnant women (N = 1100) who completed questions about diet and weight gain during pregnancy and delivered a singleton, full-term infant. Results: Gestational weight gain was inadequate for 14 % and excessive for 53 % . Pre-pregnancy factors contributed 74 % to excessive gain, substantially more than pregnancy-related health conditions (15 % ) and modifiable pregnancy factors (11 % ). Pre-pregnancy factors, pregnancy-related health conditions, and modifiable pregnancy factors contributed fairly equally to the risk of inadequate gain. Conclusion: Interventions to prevent excessive gestational gain may need to start before pregnancy. Women at risk for inadequate gain would also benefit from interventions directed toward modifiable factors during pregnancy.